Litvin Centers for Diabetes


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	Questionnaire

Tell Us What You Think About Our Website

We are always interested in our patients' and colleagues' comments. We encourage and appreciate your feedback. Please take a moment to answer the following questionnaire. Based on your feedback, we will do everything we can to improve your experience on our website and help you manage diabetes.

By submitting your information, you agree that it will be governed by our PrivacyPolicy.

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Overall, how would you rate this Web site?
	Excellent
	Good
	Neither good nor bad
	Poor


Would you be interested in purchasing diabetic products on our website such as vitamin supplements and foods?
	Yes
	No


Overall, how would you rate the monthly newsletters?
	Excellent
	Good
	Neither good nor bad
	Poor


Would you like to receive the newsletters more frequently?
	Yes
	No


Overall, how would you rate the Dr. Litvin's Blogs?
	Excellent
	Good
	Neither good nor bad
	Poor
	I'm not familiar with them


Do you think a 24/7 emergency phone service to reach Dr. Litvin or Nurse Practicioner is necessary to handle your diabetes?
	Yes
	No


If so, would you sign up for it if there were a fee?
	Yes
	No


What suggestions do you have for us?



What new areas would you like us to explore/research?



Would you refer our site?
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	No


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